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First Support EMR › Simple pricing, per active client.
Pricing

Simple pricing, per active client.

$6.99 per active client a month for private pay, $8.99 with Medicaid, $99 monthly minimum. Unlimited users. EVV, Medicaid billing, data import and support are included.

Private-pay invoices in the home care software
Private-pay invoices are drafted from verified visits and sent from the same login. Included in the price; online payments run on your own Stripe account.

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$6.99 private pay

Per active client a month, when none of your clients are on Medicaid.

$8.99 with Medicaid

Per active client a month. Adds EVV and claims. Once any client is on Medicaid, every client that month is at this price.

$99 monthly minimum

Covers up to 10 active clients. Above that, clients are billed in blocks of 10.

Optional AI add-ons are $2 per active client a month each, or $3.50 for both.

No per-user seats. Fax and online invoice payments run on your agency's own FAXAGE and Stripe accounts, billed by them directly.

Want your exact monthly figure? Send your active client count, your state, whether you bill Medicaid and whether you want AI, and you will have a written quote by e-mail within one business day.

How a quote is built

What counts, and what is never charged for

ItemHow it is priced
Active clientsThe one number the price is based on: clients with at least one visit in the month. Discharged and on-hold clients do not count.
Private pay or MedicaidTwo per-client prices, shown above. Once any active client in a month is a Medicaid client, every client that month is at the Medicaid price, which covers state EVV and claims.
Caregivers and office usersUnlimited. Adding a caregiver or a scheduler never changes the bill.
EVVIncluded for every state, direct or aggregator, including the certification work with your state's vendor.
Medicaid billingIncluded: 837P and CMS-1500 output, remittance matching, the submission pack per claim.
Family portalIncluded for every client; no per-family charge.
Fax, online payments, phone clock-inBuilt in. They run on your agency's own accounts with FAXAGE (fax), Stripe (online invoice payments) and Twilio (optional phone clock-in), which bill you directly. We add no fee.
AI (optional add-on)Per active client. Fills your Medicaid and intake forms from the UAI, reads IDs, insurance cards and faxed referrals, checks visit notes and explains claim denials. Switch it on or off yourself.
AI notes (optional add-on)Per active client. Caregivers speak their visit note or write it in Spanish, and AI finishes it for them to read and confirm. Full voice and translation in the iPhone and Android app; limited voice in a web browser such as Chrome. Both AI add-ons together cost less than the two apart.
Implementation and data importIncluded. Your roster, staff and visit history come across before go-live.
SupportIncluded, from the team that builds the software; extended hours by arrangement.
SecurityIncluded on every plan: all 33 security features, encryption, the audit log and a signed BAA. See the list.
ContractMonth to month after the first three months. Your data is exportable at any time, in CSV and PDF.
Questions

Pricing questions agencies ask

Why per client and not per user?

Because agencies grow by adding caregivers long before they add clients, and a price that punishes staffing gets in the way of good care. Per client tracks the size of the business you actually run.

Is there a minimum?

Yes, $99 a month, which covers up to 10 active clients. Above that, clients are billed in blocks of 10.

What about a second location or a second company?

Each licensed company gets its own instance and its own login domain; the price is still per active client across them. A multi-site group gets one quote.

Do you charge for the state EVV certification?

No. Getting the connector certified with your state's aggregator is part of onboarding. Where a state requires the agency to sponsor a vendor registration, we prepare the paperwork and you sign it.

Do I need a demo to get a price?

No. The prices are on this page. For an exact monthly figure, send your active client count and state on the form below and we will e-mail a written quote. The demo is optional.

See it in twenty minutes.

A screen-share of the working software, in your state's EVV format. No obligation.

Tell us where to reach you

Or pick a time yourself and get a Google Meet link straight away.

Thank you.We will call to set a time, usually within one business day. Or pick one yourself now.